None listed
Conditions
Brief summary
There has been recent interest in understanding the costs associated with post-operative complications of patients undergoing oesophagectomy (removal of the food pipe, also known as the oesophagus). Accurately defining the costs of complications allows institutions to make more informed decisions as to what these costs are, and then implement strategies to reduce the incidence of complications, thereby mitigating hospital costs. The aim of this study is to provide a detailed costs analysis for patients who undergo oesophagectomy. Who is it for? You may be eligible for this study if you are an adult who underwent a oesophagectomy for for any indication including but not limited to oesophageal cancer, Study details This study will be conducted using a review of medical records, and no patient contact is required. The study will review the medical records of adult patients who underwent a oesophagectomy at the Austin Hospital during the above 10-year period. It is hoped that this research will help to provide a better understanding of the costs associated with major surgery.
Interventions
In this study we will be observing complications after oesophagectomy and the associated hospital costs. As this is a retrospective study, there is no participant involvement. Only the de-identified hospital medical record of patients who have oesophagectomy will be reviewed.
We will review the following ICD Codes:
30294-00 Cervical oesophagectomy
30535-00 Oesophagectomy by abdominal and transthoracic mobilisation, with thoracic oesophagogastric anastomosis
30536-00 Oesophagectomy by abdominal
In this study we will be observing complications after oesophagectomy and the associated hospital costs. As this is a retrospective study, there is no participant involvement. Only the de-identified hospital medical record of patients who have oesophagectomy will be reviewed. We will review the following ICD Codes: 30294-00 Cervical oesophagectomy 30535-00 Oesophagectomy by abdominal and transthoracic mobilisation, with thoracic oesophagogastric anastomosis 30536-00 Oesophagectomy by abdominal and transthoracic mobilisation, with cervical oesophagogastric anastomosis 30536-01 Oesophagectomy by abdominal and transthoracic mobilisation, with cervical oesophagostomy 30541-00 Trans-hiatal oesophagectomy by abdominal and cervical mobilisation, with oesophagogastric anastomosis 30541-01 Trans-hiatal oesophagectomy by abdominal and cervical mobilisation, with oesophagojejunal anastomosis 30545-00 Oesophagectomy by abdominal and thoracic mobilisation with thoracic anastomosis, large intestine interposition and anastomosis 30545-01 Oesophagectomy by abdominal and thoracic mobilisation with thoracic anastomosis using Roux-en-Y reconstruction 30550-00 Oesophagectomy by abdominal and thoracic mobilisation with cervical anastomosis, large intestine interposition and anastomosis 30550-01 Oesophagectomy by abdominal and thoracic mobilisation with cervical anastomosis using Roux-en-Y reconstruction 30554-00 Oesophagectomy with reconstruction by free jejunal flap 30554-01 Oesophagectomy with reconstruction by other free flap 43903-00 Replacement of oesophagus using intestine, paediatric 43906-00 Partial resection of oesophagus with anastomosis, paediatric 43906-01 Total resection of oesophagus with anastomosis, paediatric The procedures were performed at the Austin Hospital, a tertiary hospital with oesophagectomy expertise over the period of 1 January 2010 to 31 December 2019 (10-year period). Patients were followed-up following discharge from their index admission. Readmissions for up to 90 days postoperatively will be collected.
Sponsors
Austin Health - Austin Hospital - Heidelberg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients who undergo oesophagectomy for any indication at the Austin Hospital will be considered. Oesophagectomy be defined as any procedure which involves partial or full removal of the oesophagus. All surgical techniques will be considered. Any indication for a oesophagectomy will be considered. Both emergent and elective procedures will also be considered.
Exclusion criteria
Patients who have the following procedures will be excluded: 1. Reconstructive oesophageal procedures without any resection eg. colonic interposition or any interposition graft. without resection. 2. Oesophageal biopsies 3. Laryngectomy with oesophagectomy as a secondary procedure
Outcome results
None listed